Aside from scavenging batteries and finding documents, certain tasks will require for the player to retrieve a key. The documents appear as blue folders with 'CONFIDENTIAL' stamped on the front. Along the game, the player can pick up various documents, scattered throughout the asylum, that provide a background story for some of the characters. While the camcorder is up and filming, the character will write his thoughts in a notebook. Batteries can be found in various spots, usually nearby electronic devices, such as radios, Walkie-talkies, etc. The camcorder is battery operated and comes with a night vision function which is used to navigate through dark areas. The only item the player has access to is his camcorder, which is automatically acquired after the main character breaks out of his holding cell. Certain scripted events will require a specific action from the player. Closing doors will impede enemies and squeezing through small spaces can lose them.

The players can hide in various spots in order to avoid their pursuers, such as nearby lockers, below beds, in various corners or simply blending in with the darkness. Similar to its predecessor, combat is impossible and the player must either run or hide from their enemies in order to stay alive.

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